Permit :., CITY OF TIGARD BUILDING PERMIT
mt COMMUNITY DEVELOPMENT Permit #: BUP2010 00236
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/09/2010
Parcel: 2S113AA00300
Jurisdiction: Tigard
Site address: 16316 SW 72ND AVE B3
Project: A & I Distributors Subdivision: OREGON BUSINESS PARK I Lot: 0
Project Description: Racking.
Contractor: ABOVE ALL INSTALLATIONS LLC Owner: PACIFIC REALTY ASSOCIATES
16200 SW PACIFIC HWY 15350 SW SEQUOIA PKWY #300
SUITE H PORTLAND, OR 97224
TIGARD, OR 97224
PHONE: 503 - 969 -2506
PHONE: 503 - 624 -6300
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee - Additions, Alterations, 10/28/2010 $164.96
Class of Work: ALT Demolition
Dwelling Units: 0 12% State Surcharge - Building 10/28/2010 $19.80
Stories: 0 Height: 0 ft Plan Review 10/28/2010 $107.22
Bedrooms: 0 Bathrooms: 0
Value: $5,500
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $291.98
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet: 1 Bolts in Concrete
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in nce_ with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ENTION: Oregb law requires you to follow the rules adopted by the Oregon Utility Notifica . .n Center. Those rules are set forth in OAR
952- 1 -0010 through OAR 9 •- 101 -0 You may obtain a copy of the rules or direct questions - . • ... 58 .232.1987 or 1.800.332.2344.
t
I sued By: J Perml a Signature: _“), (J (f - / f` ,
Call 503.639.4175 by 7:00 a.m. for the next available inspec '' date. `
This permit card shall be kept in a conspicuous place on the job ' - i ntil completion of the project.
Approved plans are required on the job site at the time of each inspection.
IP 1 13uilding Permit Application
Commercial ��� FOR OFFICE USE ONLY •
Cl
�i Received
of Tigard 9 f o Permit No.. 9- i
`J g / O a f/ �'1 �U (X: d►G�'
Date /B
q 13125 SW Hall Blvd., Tigard, OR 972 't�., a'5S Plan Review �'
114
9 ' ` Phone: 503.639.4171 Fax: 503.598.19:1 D Date/B : m� Other Permit
I' FGA RFC Inspection Line: 503.639.4175 ` �, Date Ready /By: ® See Page 2 for
Internet: www.tigard- or.gov O O�`�...ASV' Notified/Method: Supplemental Information
TYPE OF WORK � � REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Ai Addition/alteration /replacement ❑,Other: ,° dGlre--- equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ I- and 2- family dwelling Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ` ❑ Other: Number of bathrooms: /
JOB SITE INFORMATION AND b LOCATION Total number of floors:
Job site address: 1� ? l / S iz. _(/ New dwelling area: square feet
City /State /ZIP: 7 ' / 4 e9 72_7- y Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name:A. • hi 04 - 0 0 1- ' 0 / Covered porch area: square feet
Cross street/directions to job site: /� � Di'5'j -r i t47Jt[S ! Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION" OF WORK work indicated on this application.
,,s^ Valuation: $ • !lJ
f 2! ii9 Existing building area: square feet
New building area: square feet
�f ' ROPERTY OWNER TENANT Number of stories:
Name: 1• Pp te ,. `t Type of construction:
Address: Occupancy groups:
City /State /ZIP: Existing:
Phone: q„,-- 4 b j j I D a Fax: ( ) New:
,APPLICANT CONTACT PERSON NOTICE
Business name: N or - 1 f t ---7i --- All contractors and subcontractors are required to be
Contact name: ,J r- �� f err /
licensed with the Oregon Construction Contractors Board
�l/ / under ORS 701 and may be required to be licensed in the
Address: —7_ - / Ii. re- txl jurisdiction in which work is being performed. If the
City/State/ZIP: (q ---in /� applicant is exempt from licensing, the following reasons
y dr rl n ryi Fax:: h / (% �� �Z / � — apply:
Phone: Pn.3 ' l f , i ri/ cj, oZS2,6
E -mail:
CONTRACTOR
Business name: igr e__ XV / _Zi gi // ,- b,5 BUILDING PERMIT FEES*
Address: (Please refer to fee schedule)
Structural plan review fee (or deposit):
City /State /ZIP:
Phone: (r 9 9 f( z, Fax: ( ) FLS plan review fee (if applicable):
' b� 6 ? Total fees due upon application /¢
CCB lic.: 7 v -
y ,
� � Amount received: it noe QD
Authorized signature: � This permit application expires if a permit is not t obtained
/ / within 180 days after it has been accepted as complete.
Print name: j�� � 11 r\ [ -�� zrr `,_ Date: , //` d * Fee methodology set by Tri- County Building Industry
/� Service Board.
I: \Building\Permits \BUP -COM PermitApp.doc 10/01/09 440 4613T(11 /02 /COM/WEB)
Building Division
Accessibility: Barrier Removal Improvement Plan
TIGARD
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation, alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five per -cent (25 %).
VALUATION: Total of all renovation, alteration or modification being done,
excluding painting and wallpapering: [1] $
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
ELEMENTS: In choosing which accessible elements to provide under this section, priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(f) Accessible drinking fountains: and, $
(g) When possible, additional accessible elements such as storage and
alarms: $
TOTAL (shall equal line [2] of Valuation Computation): $
I: \Building \Permits \BUP -COM PermitApp.doc 06 /25/08